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Master Thesis

Le syndrome d’apnées du sommeil et ses modifications post-opératoires : revue de la littérature et présentation du protocole "Anesthésie - Apnées - Arythmie"

Abstract : Obstructive Sleep Apnea (OSA) is highly prevalent in the general population. Because of low diagnosis coverage half of patients ignore their condition. Indeed, there is clearly a morbidity associated with sleep apnea that is specific to this untreated condition.The aim of this current review is to update issues related to the perioperative management of OSA patients, from the anesthesiologist consultation and screening tools to the intra-operative management, to prevent postoperative complications and improve management from pain to ventilation. Although it is likely that OSA is not related to an increased risk of severe adverse event, the absence of treatment is graved with cardiovascular and respiratory outcomes that may prolonged the length of stay. Respiratory complications are the main complications that are occurring in OSA patients (airway obstruction and pulmonary complications) in postoperative. Anticipation of the airway collapse and the postoperative hypoxia must be done to facilitate those patients management.However, no interventional trials are available to date to clearly demonstrate that appropriate therapy is a requirement for OSA management.For patients without medical follow-up, the anesthesiologist visit is the time to check cardio-vascular condition but can and must also be the moment to screen OSA. This is an essential time because we can diagnose and treat this disease and because we can anticipate some of the perioperative management difficulties. We conduct a study in Grenoble about OSA screening in anaesthesiologist consultation and to screen infra-clinic cardiac rhythm abnormalities in those patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01179849
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Submitted on : Thursday, July 23, 2015 - 2:33:16 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:03 AM
Long-term archiving on: : Saturday, October 24, 2015 - 11:23:44 AM

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  • HAL Id : dumas-01179849, version 1

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Fanny Fabre. Le syndrome d’apnées du sommeil et ses modifications post-opératoires : revue de la littérature et présentation du protocole "Anesthésie - Apnées - Arythmie". Médecine humaine et pathologie. 2015. ⟨dumas-01179849⟩

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